Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $61.84 / $66.39	Professional		$28.97	$61.84	$66.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $33.68 / $33.68	Professional		$33.68	$33.68	$33.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $148.83 / $177.88	Professional		$78.05	$148.83	$177.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $66.79 / $117.86	Facility		$44.33	$66.79	$117.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $74.15 / $81.95	Professional		$58.59	$74.15	$81.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $76.22 / $79.70	Facility		$35.44	$76.22	$79.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.33 / $67.59 / $117.86	Facility		$44.33	$67.59	$117.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $74.29 / $103.00	Professional		$33.68	$74.29	$103.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $35.01 / $66.79	Professional		$32.95	$35.01	$66.79